Urinary Tract Infection in Children at Sappasitthiprasong Hospital
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Abstract
Background: Urinary tract infection (UTI) is a frequent bacterial infection in children.
Research objective: To analyse the case of urinary tract infection in aspect of incidence, signs, symptoms, laboratory and radiologic investigation, treatments, complication and recurrence.
Setting: Department of Pediatrics Sappasitthiprasong Hospital.
Research design: Descriptive retrospective study
Patients/material: The subjects were 127 patients who were diagnosed and treated with urinary tract infection from January, 2004 to December, 2006
Methods: By reviewing the informations from both inpatient and outpatient medical records in Sappasitthiprasong Hospital. Data were analyzed using Descriptive statistics of percentage.
Result: A total of 127 patients were 48 male and 79 female. The sex ratio was 1 : 1.6. Thirty nine percent of patients were between > 1 month and 5 years old. The most common symptom was fever 6096. The physical examination appears phimosis 2.396. Found white blood cells in urine less than 50 cells per high power field about 65.396. Blood levels of creatinine were less than 1.5 about 9696. Urine culture revealed positive for Escherichea coli 45.696. The ultrasound was performed and found hydronephrosis 21.296, the VCUG appeared VUR 17.796 and PUV 2.296 The complications were obtained only from the patients who less than 5 years old. The antibiotics which used in treatments: Norfloxacin 22.896 and Gentamicin 22.896. For prophylactic antibiotics we used Cotrimoxazole 60.096. Recurrence of urinary tract infection approximately 7% and mostly occurred in one year around 88.896
Conclusion: The sex ratio male to female was 1 : 1.6. The most common symptom of urinary tract infection in this study was fever. The result of urine culture revealed positive for Escherichea coli predominantly. Furthermore, The complications mostly appeared VUR.
Key words: Urinary tract infection/Pediatrics/Sappasitthiprasong Hospital.
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References
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